Individual provider Active NPI

Gregory Alan Smith, MD

  • Interventional Pain Medicine Physician
  • Fresno, CA
National Provider Identifier
1013954130
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A50680 Issued in CA
Practice address
5680 N Fresno St Ste 105
Fresno, CA 93710-8331
Phone
(559) 374-5130
Fax
(888) 977-4918
NPI assigned
May 31, 2006
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X A50680 CA
Interventional Pain Medicine Physician 208VP0014X A50680 CA Primary

Addresses

Primary practice location

5680 N Fresno St Ste 105
Fresno, CA 93710-8331

Mailing address

PO Box 3854
Redondo Beach, CA 90277-1717
Phone (310) 863-0690

Other practice location 1

3445 Pacific Coast Hwy Ste 240
Torrance, CA 90505-6659
Phone (559) 374-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50680CAMDAddiction Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Gregory a. Smith, MD Inc. CurrentSince Jul 12, 2020 Accepting new patients

Locations

5680 N Fresno St
Ste 105
Fresno, CA 93710
Phone (559) 374-5130

715 S Averill Ave
San Pedro, CA 90732
Phone (424) 206-8336

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1013954130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3854",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771717",
            "telephone_number": "310-863-0690",
            "fax_number": "310-492-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 N FRESNO ST STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108331",
            "telephone_number": "559-374-5130",
            "fax_number": "888-977-4918"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3445 Pacific Coast Hwy Ste 240",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056659",
            "country_code": "US",
            "telephone_number": "559-374-5130",
            "fax_number": "888-977-4918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "CA",
            "license": "A50680",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A50680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.